A Framework That Fits Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP) Initiative Principles & Framework.

A Framework That Fits

Enhancing InterdisciplinaryCollaboration in Primary Health Care (EICP)

Initiative

Principles & Framework

www.eicp-acis.ca

EICP Initiative

• Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP)

• $6.5M Contribution Agreement from Health Canada’s Primary Health Care Transition Fund (PHCTF)

• Led by ten national health care associations

www.eicp-acis.ca

Health professionals- all on the same page

Canadian Coalition on Enhancing Preventative Practices of Health Professionals

www.eicp-acis.ca

EICP Steering Committee

• Canadian Association of Occupational Therapists

• Canadian Association of Social Workers• Canadian Association of Speech-Language

Pathologists and Audiologists• Canadian Medical Association• Canadian Nurses Association• Canadian Pharmacists Association

www.eicp-acis.ca

EICP Steering Committee

• Canadian Physiotherapy Association

• Canadian Psychological Association

• College of Family Physicians of Canada

• Dietitians of Canada

• Canadian Coalition on Enhancing Preventative Practices of Health Professionals

www.eicp-acis.ca

Interdisciplinary Collaboration

• “Interdisciplinary collaboration refers to the positive interaction of two or more health professionals, who bring their unique skills and knowledge to assist patients/clients and families with their health decisions.”

—(Canadian Association of Occupational Therapists (CAOT), 2005

www.eicp-acis.ca

Interdisciplinary Collaboration

The right service,

provided at the right time,

in the right place,

by the right professional

www.eicp-acis.ca

Purpose of the EICP

• To develop the regulated health professions’ shared vision of interdisciplinary collaboration (IDC) in primary health care (PHC)

• To develop support for fundamental and effective change in PHC in Canada that reflects this shared vision

• To help sustain this change at the association and the individual practitioner levels in cooperation with other partners (i.e. governments, providers, public etc.)

www.eicp-acis.ca

Deliverables

• Consultations• Research• Principles • Framework• Tool Kit

www.eicp-acis.ca

Evidence Based

• Small group consultations (public, providers, government officials)

• Regional workshops (providers, experts, government officials)

• Analysis of workbooks completed by providers and policy-makers

• Two Leaders’ Forums (providers, experts, government officials)

• Five Barrier/Enabling Task Forces (providers, experts, government officials)

• Five full research reports (literature reviews)

www.eicp-acis.ca

What are Principles?

• Reflect shared values for interdisciplinary collaboration (IDC)

• Guide current and future decision about policies, programs and services

www.eicp-acis.ca

EICP Principles

• Patient/client engagement

• Population health approach

• Best possible care and services

• Access

• Trust and respect

• Effective communication

www.eicp-acis.ca

− Principle− Patient/Client Engagement

• Patients/clients the priority focus• Patients/clients involved in decision-making

& management of their own health care• Professionals work together to optimize the

physical, cognitive & mental health & wellness of their patients/clients

• Privacy & confidentiality are paramount

www.eicp-acis.ca

− Principle − Population Health Approach

• Set priorities, establish strategies & make investments in action to improve the health of the population

• Assess needs and health problems present in a community 

• Needs are addressed in a holistic fashion across the continuum of care

• Programs & services are tailored to address health determinants, while meeting the needs of individual patients/clients

www.eicp-acis.ca

− Principle − Best Possible Care and Services

• Research results are basis for quality standards & treatment decisions

• Continuous evaluation to measure health outcomes, ensure accountability, track performance & assure quality

• Commitment to continuous improvement

www.eicp-acis.ca

− Principle − Access

• The right service, provided at the right time, in the right place & by the right professional

• Geographic barriers are minimized• Services available close to where people live,

work & learn• Respect for age, income, gender, culture,

language, religion & lifestyle factors/ differences

www.eicp-acis.ca

− Principle − Trust and respect

• Key to interdisciplinary collaboration• Each profession brings its own set of

knowledge & skills • Supports shared decision-making, creativity

& innovation • Professionals learn from each other &

understand the competencies of peers • Direct benefit to patients/clients

www.eicp-acis.ca

− Principle − Effective Communication

• Both at the organizational & interpersonal levels

• Active listening and effective communication required with patients/clients & with colleagues

• Professionals & systems support team information-sharing and decision-making

www.eicp-acis.ca

What is a Framework?

• Built on the foundation principles

• Composed of structural elements required to sustain IDC

• Describes characteristics of a systemic approach and the elements need to support the operation of PHC

• Elements are interrelated

www.eicp-acis.ca

EICP Framework Elements

• Health Human Resources• Funding• Liability• Regulation• Information and Communications

Technology• Management and Leadership• Planning and Evaluation

www.eicp-acis.ca

−Framework− Health Human Resources

• Must address the availability, education & distribution of health human resources (HHR)

• Maximize the skill sets & competencies of all professionals

• Help address the work–life balance issues & working conditions overall

• Clearly articulated roles & responsibilities for each team member

www.eicp-acis.ca

−Framework− Funding

• Create a positive incentives through innovative funding models

• Payment methods (e.g. fee-for-service, salary, capitation or various blended mechanisms) can facilitate/promote IDC

• Align funding with EICP Principles for IDC• Adequate and reliable funding needed to

support IDC

www.eicp-acis.ca

−Framework− Liability

• Two directions required:– integrated approach to liability insurance that

links the various systems now in place & supports principles of IDC (e.g. recognizes shared decision-making)

– clear legislated scopes of practice for each health discipline

• Patient safety and risk management are priorities• Alleviate worry about liability so focus is on the

patient/client• Education program for judicial/legal community

about collaborative practice.

www.eicp-acis.ca

−Framework− Regulation

• Regulatory colleges must embrace & support IDC

• Give regulators of various professional disciplines the mechanisms to work together

www.eicp-acis.ca

−Framework− Information & Communications Technology

• Sharing information critical to quality care & basis of collaboration

• Linked to improved continuity of care, service delivery, & reduction of adverse events

• Provides timely access to up-to-date information

• Learning & adapting to technologies is a key challenge

www.eicp-acis.ca

−Framework− Information& Communication Technology

• An interoperable, private and secure EHR will be fundamental to the ability of teams to collaborate

www.eicp-acis.ca

−Framework− Management & Leadership

• Leaders must be committed to a vision for collaborative primary health care

• Build on “best practices”• Build skills in communication, change

management, teamwork & leadership

www.eicp-acis.ca

−Framework− Management & Leadership

• Strong administrative support • Appropriate governance structures • IDC takes time & resources

www.eicp-acis.ca

−Framework− Planning & Evaluation

• Does IDC deliver? • Ultimate goal = measuring outcomes (health, team &

organization) of IDC• Strong centralized administrative support is required • Based on the characteristics & needs of the

population served • Evaluation frameworks & assessment tools are

being developed• Frameworks and tools • Benchmarking

www.eicp-acis.ca

Get Involved

• EICP web site at www.eicp-acis.ca• Register with our Guestbook to receive

updates and our e-newsletter• Talk to your professional association about

how to get involved

www.eicp-acis.ca

Change Management

• Where are we, as professions, in collaborative, interdisciplinary care?

www.eicp-acis.ca

Toolkit

• Lexicon• What tools (practical & policy) would help

you facilitate the adoption of IDC practices in primary health care?

www.eicp-acis.ca